CAROL LYNN FORD PHD, CAC I, LPC, SUP
NPI 1750511465
Counselor - Mental Health in Sequim, WA
About Carol Lynn Ford Phd, Cac I, Lpc, Sup NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL LYNN FORD PHD, CAC I, LPC, SUP (NPI 1750511465) is an individual mental health provider in Sequim, Washington, licensed in Colorado (LPC.0005899) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sequim, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carol Lynn Ford Phd, Cac I, Lpc, Sup is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carol Lynn Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Washington enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Lynn Ford's NPI number?
The NPI number for Carol Lynn Ford is 1750511465. It was assigned to this individual provider in the NPPES registry on July 16, 2009.
Where is Carol Lynn Ford located?
Carol Lynn Ford practices at 912 E Fir St, Sequim, WA 98382. The listed phone number is (970) 946-7898.
What is Carol Lynn Ford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Carol Lynn Ford enrolled in Medicare?
Yes. Carol Lynn Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carol Lynn Ford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Lynn Ford reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Lynn Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Lynn Ford accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Select Health list Carol Lynn Ford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carol Lynn Ford was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carol Lynn Ford, PHD, CAC I, LPC, SUP · NPI 1750511465
Mental Health provider in Sequim, Washington. Individual provider, active in the CMS NPPES registry since July 16, 2009.
## Identity
- **NPI:** 1750511465 (Entity type: Individual)
- **Enumerated:** July 16, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC.0005899 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 912 E FIR ST, Sequim, WA 98382-3565
- **Phone:** (970) 946-7898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 13, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1750511465) · Data from the CMS NPPES public registry.